| Caring Healthcare Network Richland, Llc | |
|
1481 Eisenhower Blvd Johnstown PA 15904-3217 | |
| (814) 298-7428 | |
| (814) 536-1044 |
| Full Name | Caring Healthcare Network Richland, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1481 Eisenhower Blvd, Johnstown, Pennsylvania |
| Authorized Official Name and Position | Candice Widuch-mert (DIRECTOR) |
| Authorized Official Contact | 8142987428 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caring Healthcare Network Richland, Llc 1481 Eisenhower Blvd Johnstown PA 15904-3217 Ph: (814) 298-7428 | Caring Healthcare Network Richland, Llc 1481 Eisenhower Blvd Johnstown PA 15904-3217 Ph: (814) 298-7428 |
| NPI Number | 1659017754 |
|---|---|
| Provider Enumeration Date | 05/11/2022 |
| Last Update Date | 08/14/2023 |
| Medicare PECOS PAC ID | 2062890809 |
|---|---|
| Medicare Enrollment ID | O20220607000434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659017754 | NPI | - | NPPES |
| 2E3811 | Other | PA | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Candice Widuch-mert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902242050 PECOS PAC ID: 9436381852 Enrollment ID: I20161005001110 |
| Provider Name | Adam Daniel Paronish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518524008 PECOS PAC ID: 5698008373 Enrollment ID: I20190612001149 |
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